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Characterizing Amyloid Pathogenic Spread in Alzheimer's Disease Through A Network Diffusion Model. 通过网络扩散模型表征阿尔茨海默病中淀粉样蛋白的致病传播。
Frederick H Xu, Duy Duong-Tran, Heng Huang, Andrew J Saykin, Paul Thompson, Christos Davatzikos, Yize Zhao, Li Shen

Early amyloid-β deposition is a hallmark of Alzheimer's disease (AD), though the exact nature of amyloid pathogenesis is not fully characterized. In this study, we designed a network diffusion model to simulate the spread of amyloid pathology through white matter brain networks of diagnostic subpopulations of healthy control (HC), mild cognitive impairment (MCI), and AD. Our network diffusion model was able to successfully model the spread of amyloid, recapturing regional distributions of amyloid observed in 18F-florbetapir positron emission tomography (r=0.44-0.46, P<0.01). When tuning the optimal parameters, we found that the optimal diffusion time (t) provided a notion of temporal progression, where the HC group had the lowest time (t = 107.22 ± 16.67), followed by MCI (t = 122.78 ± 19.63), and lastly AD (t =136.20 ± 24.47). The optimal starting seeds were the brainstem in all three diagnostic groups, followed by the lateral orbitofrontal lobes for HC and MCI and the lingual gyri in AD. Our findings corroborate evidence from amyloid staging studies where amyloid starts in the primary neocortex and associative cortex. The significance of the white matter structural network in the diffusion process provides evidence for the trans-synaptic spread hypothesis of amyloid in AD. In conclusion, our study provides novel insights into the pathogenesis of amyloid in AD and its subsequent propagation throughout the brain.

早期淀粉样蛋白-β沉积是阿尔茨海默病(AD)的一个标志,尽管淀粉样蛋白发病机制的确切性质尚未完全表征。在这项研究中,我们设计了一个网络扩散模型来模拟淀粉样蛋白病理通过健康对照(HC)、轻度认知障碍(MCI)和AD诊断亚群的白质脑网络的传播。我们的网络扩散模型能够成功地模拟淀粉样蛋白的扩散,重新捕捉18F-florbetapir正电子发射断层扫描(r=0.44-0.46, Pt)观察到的淀粉样蛋白的区域分布,提供了时间进展的概念,其中HC组的时间最短(t = 107.22±16.67),其次是MCI (t = 122.78±19.63),最后是AD (t =136.20±24.47)。在所有三个诊断组中,最佳的起始种子是脑干,其次是HC和MCI的外侧眶额叶,AD的舌回。我们的发现证实了淀粉样蛋白分期研究的证据,淀粉样蛋白开始于初级新皮层和联想皮层。白质结构网络在扩散过程中的重要意义为AD中淀粉样蛋白的跨突触扩散假说提供了证据。总之,我们的研究为阿尔茨海默病中淀粉样蛋白的发病机制及其随后在大脑中的传播提供了新的见解。
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引用次数: 0
Enabling Few-Shot Alzheimer's Disease Diagnosis on Biomarker Data with Tabular LLMs. 利用表格LLMs的生物标志物数据进行少量阿尔茨海默病诊断。
Sophie Kearney, Shu Yang, Zixuan Wen, Bojian Hou, Duy Duong-Tran, Tianlong Chen, Jason Moore, Marylyn Ritchie, Li Shen

Early and accurate diagnosis of Alzheimer's disease (AD), a complex neurodegenerative disorder, requires analysis of heterogeneous biomarkers (e.g., neuroimaging, genetic risk factors, cognitive tests, and cerebrospinal fluid proteins) typically represented in a tabular format. With flexible few-shot reasoning, multimodal integration, and natural-language-based interpretability, large language models (LLMs) offer unprecedented opportunities for prediction with structured biomedical data. We propose a novel framework called TAP-GPT, T abular A lzheimer's P rediction GPT, that adapts TableGPT2, a multimodal tabular-specialized LLM originally developed for business intelligence tasks, for AD diagnosis using structured biomarker data with small sample sizes. Our approach constructs few-shot tabular prompts using in-context learning examples from structured biomedical data and finetunes TableGPT2 using the parameter-efficient qLoRA adaption for a clinical binary classification task of AD or cognitively normal (CN). The TAP-GPT framework harnesses the powerful tabular understanding ability of TableGPT2 and the encoded prior knowledge of LLMs to outperform more advanced general-purpose LLMs and a tabular foundation model (TFM) developed for prediction tasks. To our knowledge, this is the first application of LLMs to the prediction task using tabular biomarker data, paving the way for future LLM-driven multi-agent frameworks in biomedical informatics.

阿尔茨海默病(AD)是一种复杂的神经退行性疾病,早期和准确诊断需要分析通常以表格形式表示的异质生物标志物(例如,神经影像学、遗传风险因素、认知测试和脑脊液蛋白)。凭借灵活的少镜头推理、多模态集成和基于自然语言的可解释性,大型语言模型(llm)为结构化生物医学数据的预测提供了前所未有的机会。我们提出了一个名为TAP-GPT的新框架,该框架将TableGPT2(最初为商业智能任务开发的多模态表专用LLM)用于使用小样本量的结构化生物标志物数据进行AD诊断。我们的方法使用结构化生物医学数据中的上下文学习示例构建少量表格提示,并使用参数有效的qLoRA自适应对TableGPT2进行优化,用于AD或认知正常(CN)的临床二元分类任务。TAP-GPT框架利用TableGPT2强大的表格理解能力和llm的编码先验知识,胜过更高级的通用llm和为预测任务开发的表格基础模型(TFM)。据我们所知,这是llm首次应用于使用表格生物标志物数据的预测任务,为未来llm驱动的生物医学信息学多代理框架铺平了道路。
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引用次数: 0
Fair CCA for Fair Representation Learning: An ADNI Study. 公平代表学习的公平CCA: ADNI研究。
Bojian Hou, Zhanliang Wang, Zhuoping Zhou, Boning Tong, Zexuan Wang, Jingxuan Bao, Duy Duong-Tran, Qi Long, Li Shen

Canonical correlation analysis (CCA) is a technique for finding correlations between different data modalities and learning low-dimensional representations. As fairness becomes crucial in machine learning, fair CCA has gained attention. However, previous approaches often overlook the impact on downstream classification tasks, limiting applicability. We propose a novel fair CCA method for fair representation learning, ensuring the projected features are independent of sensitive attributes, thus enhancing fairness without compromising accuracy. We validate our method on synthetic data and real-world data from the Alzheimer's Disease Neuroimaging Initiative (ADNI), demonstrating its ability to maintain high correlation analysis performance while improving fairness in classification tasks. Our work enables fair machine learning in neuroimaging studies where unbiased analysis is essential. Code is available in https://github.com/ZhanliangAaronWang/FR-CCA-ADNI.

典型相关分析(CCA)是一种发现不同数据模式之间的相关性并学习低维表示的技术。随着公平在机器学习中变得至关重要,公平的CCA引起了人们的关注。然而,以往的方法往往忽略了对下游分类任务的影响,限制了适用性。我们提出了一种新的公平CCA方法用于公平表示学习,确保投影特征独立于敏感属性,从而在不影响准确性的情况下提高公平性。我们在阿尔茨海默病神经成像倡议(ADNI)的合成数据和现实世界数据上验证了我们的方法,证明了它能够在保持高相关性分析性能的同时提高分类任务的公平性。我们的工作在神经成像研究中实现公平的机器学习,其中无偏倚的分析是必不可少的。代码可从https://github.com/ZhanliangAaronWang/FR-CCA-ADNI获得。
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引用次数: 0
Causality-based Subject and Task Fingerprints using fMRI Time-series Data. 使用fMRI时间序列数据的基于因果关系的主题和任务指纹。
Dachuan Song, Li Shen, Duy Duong-Tran, Xuan Wang

Recently, there has been a revived interest in system neuroscience causation models due to their unique capability to unravel complex relationships in multi-scale brain networks. In this paper, our goal is to verify the feasibility and effectiveness of using a causality-based approach for fMRI fingerprinting. Specifically, we propose an innovative method that utilizes the causal dynamics activities of the brain to identify the unique cognitive patterns of individuals (e.g., subject fingerprint) and fMRI tasks (e.g., task fingerprint). The key novelty of our approach stems from the development of a two-timescale linear state-space model to extract 'spatio-temporal' (aka causal) signatures from an individual's fMRI time series data. To the best of our knowledge, we pioneer and subsequently quantify, in this paper, the concept of 'causal fingerprint.' Our method is well-separated from other fingerprint studies as we quantify fingerprints from a cause-and-effect perspective, which are then incorporated with a modal decomposition and projection method to perform subject identification and a GNN-based (Graph Neural Network) model to perform task identification. Finally, we show that the experimental results and comparisons with non-causality-based methods demonstrate the effectiveness of the proposed methods. We visualize the obtained causal signatures and discuss their biological relevance in light of the existing understanding of brain functionalities. Collectively, our work paves the way for further studies on causal fingerprints with potential applications in both healthy controls and neurodegenerative diseases.

最近,由于系统神经科学因果模型具有揭示多尺度大脑网络中复杂关系的独特能力,因此对系统神经科学因果模型的兴趣重新燃起。在本文中,我们的目标是验证使用基于因果关系的方法进行fMRI指纹识别的可行性和有效性。具体来说,我们提出了一种创新的方法,利用大脑的因果动力学活动来识别个体(例如,受试者指纹)和功能磁共振成像任务(例如,任务指纹)的独特认知模式。我们方法的关键新颖之处在于开发了一个双时间尺度线性状态空间模型,从个人的fMRI时间序列数据中提取“时空”(又名因果)特征。据我们所知,我们在本文中开创并随后量化了“因果指纹”的概念。我们的方法与其他指纹研究很好地分离,因为我们从因果角度量化指纹,然后将其与模态分解和投影方法结合起来进行受试者识别,并基于gnn(图神经网络)模型进行任务识别。最后,实验结果和与非因果关系方法的比较表明了所提出方法的有效性。我们将获得的因果特征可视化,并根据对大脑功能的现有理解讨论其生物学相关性。总的来说,我们的工作为进一步研究因果指纹在健康对照和神经退行性疾病中的潜在应用铺平了道路。
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引用次数: 0
New Spatial Phenotypes from Imaging Uncover Survival Differences for Breast Cancer Patients. 新的空间表型成像揭示乳腺癌患者的生存差异。
Mahmudul Hasan, Ariadna Kim Silva, Shahira Abousamra, Shao-Jun Tang, Prateek Prasanna, Joel Saltz, Kevin Gardner, Chao Chen, Alisa Yurovsky

Imaging technologies have revolutionized the study of the tumor microenvironment (TME) by leveraging spatial analysis, which enables the exploration of tissue organization and cellular communication, as well as aiding cancer diagnosis and prognosis. However, while many advanced spatial analysis methods have been recently published, they are enmeshed with specific imaging technology. An opportunity exists to develop a technology-agnostic methodology that captures complex spatial patterns in the TME as phenotypes to use in downstream tasks. In this paper, we present a novel variation of spatial g-function and a comprehensive imaging-technology-agnostic framework that identifies rich spatial phenotypes that can be used in survival analysis and classification tasks. Applying our methodology to breast cancer, we uncover spatial phenotypes with significance to survival across racial groups and molecular subtypes of breast cancer. We find other phenotypes that are significant to the survival of specific patient categories (such as African American). We also demonstrate that our phenotypes reflect specific biological contexts. These results highlight the relevance of our proposed spatial analysis and phenotype discovery pipeline and demonstrate the benefits of the systematic exploration of spatial phenotypes for more personalized diagnosis and treatments.

成像技术通过利用空间分析彻底改变了肿瘤微环境(TME)的研究,使组织组织和细胞通讯的探索成为可能,并有助于癌症的诊断和预后。然而,虽然最近发表了许多先进的空间分析方法,但它们都与特定的成像技术相结合。有机会开发一种技术不可知的方法,将TME中的复杂空间模式捕获为表型,用于下游任务。在本文中,我们提出了一种新的空间g函数变化和一个综合的成像技术不可知论框架,该框架可识别可用于生存分析和分类任务的丰富空间表型。将我们的方法应用于乳腺癌,我们揭示了空间表型对跨种族群体和乳腺癌分子亚型的生存具有重要意义。我们发现其他表型对特定患者类别(如非裔美国人)的生存具有重要意义。我们还证明,我们的表型反映了特定的生物学背景。这些结果突出了我们提出的空间分析和表型发现管道的相关性,并证明了系统探索空间表型对更个性化的诊断和治疗的好处。
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引用次数: 0
CAPTURE: A Clustered Adaptive Patchwork Technique for Unified Registration Enhancement in Biological Imaging. 捕获:生物成像中统一配准增强的聚类自适应拼接技术。
Sahand Hamzehei, Gianna Raimondi, Mostafa Karami, Linnaea Ostroff, Sheida Nabavi

Image registration is important in biological image analysis; however, it is often challenged by distortions and non-linear transformations. In this paper, we present a novel patch-wise image registration method to address the mentioned issues. Our method begins with global registration to correct linear transformations, followed by a detailed examination of geometrical distortions. After that, each image is adaptively divided into patches to isolate and correct non-linear distortions, followed by reconstruction and combining patches using Otsu thresholding. We evaluated our method against state-of-the-art techniques using mutual information (MI), phase congruency-based (PCB), and gradient-based metrics (GBM) across four real biology datasets. Our results demonstrate superior feature alignment and image coherence, especially in serial-stack registrations. While the proposed method has longer processing times compared to linear registration methods, its enhanced accuracy and reliability to handle non-uniform distortion makes it beneficial for precision-demanding applications. We have created a public GitHub repository containing the code used in our research, available at https://github.com/NabaviLab/CAPTURE.

图像配准是生物图像分析的重要内容;然而,它经常受到扭曲和非线性转换的挑战。在本文中,我们提出了一种新的图像配准方法来解决上述问题。我们的方法从全局配准开始,以纠正线性变换,然后详细检查几何畸变。然后,对每幅图像进行自适应分割,对非线性失真进行隔离和校正,然后利用Otsu阈值法进行重建和拼接。我们利用互信息(MI)、基于相位一致性(PCB)和基于梯度的指标(GBM)对四个真实生物数据集的最新技术进行了评估。我们的结果证明了优越的特征对齐和图像相干性,特别是在串行堆栈配准中。虽然与线性配准方法相比,该方法的处理时间更长,但其处理非均匀畸变的精度和可靠性提高,有利于精度要求高的应用。我们已经创建了一个公共GitHub存储库,其中包含我们研究中使用的代码,可在https://github.com/NabaviLab/CAPTURE上获得。
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引用次数: 0
Multi-Group Tensor Canonical Correlation Analysis. 多群张量典型相关分析。
Zhuoping Zhou, Boning Tong, Davoud Ataee Tarzanagh, Bojian Hou, Andrew J Saykin, Qi Long, Li Shen

Tensor Canonical Correlation Analysis (TCCA) is a commonly employed statistical method utilized to examine linear associations between two sets of tensor datasets. However, the existing TCCA models fail to adequately address the heterogeneity present in real-world tensor data, such as brain imaging data collected from diverse groups characterized by factors like sex and race. Consequently, these models may yield biased outcomes. In order to surmount this constraint, we propose a novel approach called Multi-Group TCCA (MG-TCCA), which enables the joint analysis of multiple subgroups. By incorporating a dual sparsity structure and a block coordinate ascent algorithm, our MG-TCCA method effectively addresses heterogeneity and leverages information across different groups to identify consistent signals. This novel approach facilitates the quantification of shared and individual structures, reduces data dimensionality, and enables visual exploration. To empirically validate our approach, we conduct a study focused on investigating correlations between two brain positron emission tomography (PET) modalities (AV-45 and FDG) within an Alzheimer's disease (AD) cohort. Our results demonstrate that MG-TCCA surpasses traditional TCCA in identifying sex-specific cross-modality imaging correlations. This heightened performance of MG-TCCA provides valuable insights for the characterization of multimodal imaging biomarkers in AD.

张量标准相关分析(TCCA)是一种常用的统计方法,用于检查两组张量数据集之间的线性关联。然而,现有的TCCA模型未能充分解决现实世界张量数据中存在的异质性,例如从以性别和种族等因素为特征的不同群体收集的大脑成像数据。因此,这些模型可能会产生有偏见的结果。为了克服这一限制,我们提出了一种称为多组TCCA(MG-TCCA)的新方法,该方法能够对多个子组进行联合分析。通过结合双重稀疏性结构和块坐标上升算法,我们的MG-TCCA方法有效地解决了异质性问题,并利用不同组之间的信息来识别一致的信号。这种新颖的方法有助于量化共享和单个结构,降低数据维度,并实现视觉探索。为了实证验证我们的方法,我们进行了一项研究,重点调查阿尔茨海默病(AD)队列中两种大脑正电子发射断层扫描(PET)模式(AV-45和FDG)之间的相关性。我们的研究结果表明,MG-TCCA在识别性别特异性跨模态成像相关性方面超过了传统的TCCA。MG-TCCA的这种提高的性能为AD中多模式成像生物标志物的表征提供了有价值的见解。
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引用次数: 0
Supervised Pretraining through Contrastive Categorical Positive Samplings to Improve COVID-19 Mortality Prediction. 通过对比分类阳性样本进行监督预训练以提高COVID-19死亡率预测。
Tingyi Wanyan, Mingquan Lin, Eyal Klang, Kartikeya M Menon, Faris F Gulamali, Ariful Azad, Yiye Zhang, Ying Ding, Zhangyang Wang, Fei Wang, Benjamin Glicksberg, Yifan Peng

Clinical EHR data is naturally heterogeneous, where it contains abundant sub-phenotype. Such diversity creates challenges for outcome prediction using a machine learning model since it leads to high intra-class variance. To address this issue, we propose a supervised pre-training model with a unique embedded k-nearest-neighbor positive sampling strategy. We demonstrate the enhanced performance value of this framework theoretically and show that it yields highly competitive experimental results in predicting patient mortality in real-world COVID-19 EHR data with a total of over 7,000 patients admitted to a large, urban health system. Our method achieves a better AUROC prediction score of 0.872, which outperforms the alternative pre-training models and traditional machine learning methods. Additionally, our method performs much better when the training data size is small (345 training instances).

临床电子病历数据自然是异质的,其中包含丰富的亚表型。这种多样性给使用机器学习模型进行结果预测带来了挑战,因为它会导致高的类内方差。为了解决这个问题,我们提出了一种具有独特嵌入k-近邻正抽样策略的监督预训练模型。我们从理论上证明了该框架的增强性能价值,并表明它在预测现实世界COVID-19电子健康档案数据中的患者死亡率方面产生了极具竞争力的实验结果,这些数据包括一个大型城市卫生系统共接收的7,000多名患者。该方法的AUROC预测得分为0.872,优于其他预训练模型和传统的机器学习方法。此外,当训练数据规模较小(345个训练实例)时,我们的方法表现得更好。
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引用次数: 3
Segmenting Thoracic Cavities with Neoplastic Lesions: A Head-to-head Benchmark with Fully Convolutional Neural Networks. 胸腔肿瘤病灶分割:全卷积神经网络的头对头基准。
Zhao Li, Rongbin Li, Kendall J Kiser, Luca Giancardo, W Jim Zheng

Automatic segmentation of thoracic cavity structures in computer tomography (CT) is a key step for applications ranging from radiotherapy planning to imaging biomarker discovery with radiomics approaches. State-of-the-art segmentation can be provided by fully convolutional neural networks such as the U-Net or V-Net. However, there is a very limited body of work on a comparative analysis of the performance of these architectures for chest CTs with significant neoplastic disease. In this work, we compared four different types of fully convolutional architectures using the same pre-processing and post-processing pipelines. These methods were evaluated using a dataset of CT images and thoracic cavity segmentations from 402 cancer patients. We found that these methods achieved very high segmentation performance by benchmarks of three evaluation criteria, i.e. Dice coefficient, average symmetric surface distance and 95% Hausdorff distance. Overall, the two-stage 3D U-Net model performed slightly better than other models, with Dice coefficients for left and right lung reaching 0.947 and 0.952, respectively. However, 3D U-Net model achieved the best performance under the evaluation of HD95 for right lung and ASSD for both left and right lung. These results demonstrate that the current state-of-art deep learning models can work very well for segmenting not only healthy lungs but also the lung containing different stages of cancerous lesions. The comprehensive types of lung masks from these evaluated methods enabled the creation of imaging-based biomarkers representing both healthy lung parenchyma and neoplastic lesions, allowing us to utilize these segmented areas for the downstream analysis, e.g. treatment planning, prognosis and survival prediction.

计算机断层扫描(CT)对胸腔结构的自动分割是放疗计划和放射组学成像生物标志物发现等应用的关键步骤。最先进的分割可以由全卷积神经网络如U-Net或V-Net提供。然而,对于这些结构在具有显著肿瘤性疾病的胸部ct上的表现进行比较分析的工作非常有限。在这项工作中,我们比较了使用相同的预处理和后处理管道的四种不同类型的全卷积架构。使用402例癌症患者的CT图像和胸腔分割数据集对这些方法进行了评估。通过对Dice系数、平均对称表面距离和95% Hausdorff距离三个评价标准进行基准测试,我们发现这些方法获得了非常高的分割性能。总体而言,两阶段三维U-Net模型表现略好于其他模型,左肺和右肺的Dice系数分别达到0.947和0.952。而3D U-Net模型在右肺HD95和左右肺ASSD评价下表现最佳。这些结果表明,目前最先进的深度学习模型不仅可以很好地分割健康的肺,还可以分割含有不同阶段癌症病变的肺。从这些评估方法中获得的综合类型的肺面罩能够创建基于成像的生物标志物,代表健康的肺实质和肿瘤病变,使我们能够利用这些分割区域进行下游分析,例如治疗计划,预后和生存预测。
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引用次数: 0
Assigning ICD-O-3 Codes to Pathology Reports using Neural Multi-Task Training with Hierarchical Regularization. 使用具有层次规则化的神经多任务训练将ICD-O-3代码分配给病理学报告。
Anthony Rios, Eric B Durbin, Isaac Hands, Ramakanth Kavuluru

Tracking population-level cancer information is essential for researchers, clinicians, policymakers, and the public. Unfortunately, much of the information is stored as unstructured data in pathology reports. Thus, too process the information, we require either automated extraction techniques or manual curation. Moreover, many of the cancer-related concepts appear infrequently in real-world training datasets. Automated extraction is difficult because of the limited data. This study introduces a novel technique that incorporates structured expert knowledge to improve histology and topography code classification models. Using pathology reports collected from the Kentucky Cancer Registry, we introduce a novel multi-task training approach with hierarchical regularization that incorporates structured information about the International Classification of Diseases for Oncology, 3rd Edition classes to improve predictive performance. Overall, we find that our method improves both micro and macro F1. For macro F1, we achieve up to a 6% absolute improvement for topography codes and up to 4% absolute improvement for histology codes.

追踪人群层面的癌症信息对研究人员、临床医生、政策制定者和公众至关重要。不幸的是,大部分信息都作为非结构化数据存储在病理学报告中。因此,在处理信息时,我们需要自动提取技术或手动管理。此外,许多与癌症相关的概念很少出现在现实世界的训练数据集中。由于数据有限,自动提取很困难。本研究介绍了一种新技术,该技术结合了结构化的专家知识来改进组织学和地形图代码分类模型。利用从肯塔基州癌症注册中心收集的病理学报告,我们引入了一种具有分层规则化的新的多任务训练方法,该方法结合了关于国际肿瘤疾病分类第三版课程的结构化信息,以提高预测性能。总的来说,我们发现我们的方法改进了微观和宏观F1。对于宏F1,我们实现了地形代码高达6%的绝对改进和组织学代码高达4%的绝对改进。
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引用次数: 5
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